1. DA 1E TIM~ GROUP 2. LOCATION (2 Wituaaea ~ 10. CONCLUSION t WBATHER) 4. NUMIER Of OIJICTI 5. LENGTH Of OISIRVATION 11. IRIIII SUMMARY AND ANALYSIS 2 1/2 Mbutea 6. TYPE Of OBSERVATION Orou.D4-V1 8. PtiOTOS Tbe obaener aipted ~ bri~t lisht aSmilar to a atar or whit reco&P1t1on llSbt OD an aircraft that traYeled iD an erratic tllgbt pat b. It 11'4 tbroush eome tbiA la)'era ot clou.d.a, sr ud t 1)' dlaappearecl. t A vea\her balloD vaa launched rrcm a DeaQ b)' weath~:... .. \a\ioD a\ 0018 hra. Tbe obaer.ar did not think be aav the bal I ecauae aurtace viDda wen blov1Dg tovarcl the S'W and the objoct 1 l 1 aav traYeled toward the BNB. HoveYer at 6,000 tt the wind vac o Y aDd at 10,000 tt vaa blowing BNE. Tbia type ot balloon caD tJ 1. 000 tt aDd aacenda at about 1,000 tt m1J:u.Lte. t ! l 9. PHYSICAL EVIDENCE . I FTD SE P 6) 0329 (TOE) Preloue edtuon of th&e fora .. ,.~ u .. d tl. DRAW A ~ICTURI THAT WILL IHOW THI IMA~I 0' TMI ~MIMOMIMOM. tMCLUDE AMD LA.IL AMY DITAtLI THAT MIOMT MAYI A IARID AI WIMOI OR ~ROTRUitOMI, AMD IMDICATI ~XMAUIT OR YA~OR TRAILI. IMDtCATI ., AM ARROW TMI DIRICTIOM TMI ~MIMOMIMOM WAI MOYIMO. I . I /('J fi r tl. WHAT WAS THE ANGULAR SIZE! HOLD A MATCH AT ARM'S LENGTH IN FRONT OF A KNOWN OB.If!,. r, SUCH AS A STREET LAMP OR THE MOON. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE MJ ":t-t. NO" IF YOU HAD BEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT t-PACT "1of '"lF THE PHE .. OMENON WOULD HAVE BEEN COVERED av THE MATCH MEAD PAGE I OF I PAGES U. MAYI 'IOU IYI" 111M TMII 0" A IIMILA" ,_MINOMINON 1'0"1' 0 VII NO. " v11, OIYI DATI AND U. ~r::_AN'IONI WITM 'IOU AT TMI TIMI 'IOU lAW TMI ,_MINOMINON' VII 0 NO. " v11, DID TMI'I Ill IT TOO' A. LilT TMII" NAMII AND ADD .. IIIII GIVE THE ~OLLOWINO INI'O.-MATION ABOUT vou.-SELI' .... uiTIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT 25. WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENONt 21. DATE YOU COMP~ETEO THIS QUEITIONNAU.E. MONTH _ _ L~ PAGE 8 OF PAGES t7. DID YOU 0811 .. YI TMI .. HINOMINON TM .. OUOM ANY 0' TMI! 'OLLOWINO? IMCLUDI tN,OMATION ON MODI\., TY .. I, rtL Tl", LINI .... IIC"t .. TION 0" OTMIR A .... LICA8LI DATA. I IYIOLAIIII IUNOLAIIII 81NOCULARI ~ WINDIHIILD IIDI WINDOW OP YIHICLI TILIICO .. I TMIODOLITI A. DO YOU O"QINARILY WI A" OLAIIII? jlYII 0 NO tl. WHAT WAI YOU" IM .... IIIION 0' TMI I,.IID o, .. ~MI .. MINOMINON? OIYI IITIMATI 0' I .. IID 14.' L .1!\Cl~ 8. DO YOU Ull "IADIMO OLAISIIt ..il!.ll n NO tl. WHAT WAI YOU" IM .... IIIIOM 0' TMI DIITAMCI O'.JHI . .. MINOMINOM? OIYI IITIMATI 0' DIITANCI ~ .Llf't-. 10. IN O"DI" THAT WI MAY 08TAIM AI CLIA" A .. ICTU"I AI .. OISI8LI 0' WHAT YOU lAW, DIICfU811N YOUR OWM WO .. DI A COMMON 08.11CT OR 08.11CTI WHICH, WHIM .. LACID IN TMI SKY, IIMILA" TO WMI"I YOU NOTID THI .. HINOMIMOM, WOULD 8t::AR IOMI RIIIM8LANCE TO WHAT YOU lAW. DIIC .. I8111MILA"ITIEI AND D"'I"INCII 81TWIIN THI COMMON 08.11CT AND WHAT YOU lAW. ,t 2t. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT LMANAT!!)i FROM THE PHENOMENON On ANY FFECT ON YOURSELF, ANIMALS OR MACHINERY IN THE VICINITY? 0 YES ~NO. IF YES, DESCRIB A. DID THE PHENOMENON DISTURB TH GROUND OR LEAVE ANY PHYSICAL EVI.DENC. 0 Y5 ~ NO. IF yr;s. DSCRI8E. PAGE 7 OF I PAGES PAGE 0~ PAGEl DKitARTMKNT 011' Tt-4E AI" I'O"C~ MaADQUAttTKtte 'OttKION TKC:HNOLOOY DIVIeiON f A'K) WttiOMT ... AnatteoN Altt ,OttCK aAea. OHIO JJ 'l'DPI'/UFO ~FO Observation, 10 Dec.U.r 1961 Reference your recent unidentified flying object sighting ~hich you reported to the Air Force. The infot,nation ,,:bich we have received is not sufficient tor a scientific investigation. Request you complete the attached AF Fot'w 117 and return it in the self- addressed envelope. Thank you tor reporting your observation to the Air Force C. MANATI', Colonel, USAF ctor or Production lA. NOW IMAOINI YOU AfUt AT TM~ C~NTI,_ 0~ TMa COM~AII "OSE. ~LAC. AN A ON TMI COM .. ASS TO INDICATI TMI DI .. ~CTION TO TM~ .. MINOM~NON WMIN "'"' 111M ... LACI A e ON TMI: COM .. AII TO INDICATI TMI DI"ICTION TO TMI ~MI:NOMINON WMIN LAIT IIIN. 7. IN THE SKETCH BELOW, PLACE AN A AT THE POSITION OF THE PHENOMENON WHEN FIRST SEEN, AND A a AT THE POSITION OF THE PHENOMENON WHEN LAST SEEN. CONNECT THE A AND a WITH A LINE TO APPROXIMATE THE MOVEMENT OF THE PHENOMENON BETWEEN A AND a. THAT IS, SCHEMATICALLY SHOW WHETHER THE MOVEMEifT APPEARED TO BE STRAIGHT, CURVED OR ZIG-ZAG. REFER TO SMALLER SKETCH AS AN EXAMPLE OF HOW TO COMPLETE THE LARGER SKE-TCH. PAGE 2 OF 9 PAGES BOD Nr 21-R258 SIGHTING OF UNIDENTIFIED P .. ENOMENA QUESTIONNAIRE THIS QUESnONMIRit HAS BEEN PREPARED 80 THAT YOU CAN GIVE THE U.S. AJR FORCE AS MUCH INFORMATION AS POSSIBLE CONCitRNINO THE UNIDENTIFIED PHitNOMitNON THAT YOU HAVE OBSERVED. PLEASE TRY TO ANSWER ALL OF ntE QUESTIONS. nllt INFORMAnON YOU GIVE WILL BE USJo;D FOR RESEARCH PURPOSES. NAME WILL NOT Bit USED IN CONNEC'I'ION WITH ANY OF YOUR STATEMENTS OR CONCLUSIONS WITHOUT YOUR PJtRMISSION. RETURN TO AIR FORCE BASE INVESTIGATOR FOR FORWARDING TO FTD (TDETR), WRIGHT PATTitR&ON AFB, OHlO 45433, lAW 10-17. (IF ADDlnONAI... SHBBTS AR NBBDBD FOR NARRATIVE OR SICB'TCHBS ATTACH SBCURBLl' '1'0 THIS FORM OR ANNOTATB WITH YOUR NAMB I"'R IDBNTIFICATION.) ' WHaM DID YOU saa THE PHENOMINONt I. WHAT TIMI DID YOU ~I .. IT liGHT THa PHINOMINONt I. WHAT TIME DID YOU LAST SIGHT THI PHINOMINON' HOUA 12 MINUTES 2t~ ~ m A.M. ~EASTERN 0 C~NTRAL D MOUNTAIN D PACIFIC 0 OTHER I. WHER~ WERE YOU WHEN YOU SAW THE PHENOMENONf ur IN CITY, GIVE THE NEAREST STREET ADDRESS AND INDICATE ON A HAND DRAWN MAP WHERE YOU WERE STANDING WITH AEf'ERENCE TO THE ADDRESS. IF IN THE COUNTRY, IDENTIFY THE HIGHWAY YOU WERE ON OR NEAR AND T"Y TO FIX A DISTANCE AND DIRECTION ~ROM SOME RECOGNIZABLE LANDMARK. frtt~t ~ r rnl.ll1) I. IMAGINE YOU ARE AT TME POINT SHOWN IN THE SKETCH, PLACE AN A ON THF: CURVEO Llt-;f." T O SHOW HOW HIGH THE PHENOMENON WAS ABOVE THE HORIZON, OR SKYLINE, Wt1 EN FIRST SEEN. Pl-ACE A a ON THE SAME CURVED LINE TO SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN. tt. " TMa.-1 w1.-1 110.-1 THAN OMI ~MINOMIMOM, MOW MANY W~RI TMI.-It D.-Aw A ~ICTU.-1 TO IMOW MDW TMIY Wl._l A.-.-ANOID. DID TMII ARRAMODIIMT CMAMOI DURIMO TMI IIOMTIMOt CONDITIONS (Ciaee6 epproprlate toeJ CUMULUS CLOUDI (L FOO OR MilT TWILIGHT HIAVY .-AIM Cl.-.-ua CLOUDI (Hilla /leee1 M Herrl...- LIGHT "AIN 0" D"lllLI CLEA" NIM.US CLOUDI (lt""ra} HAIL .. A .. TLY CLOUDY CUMULONIM.UI CLOUDS SNOW OR SLEET (TA~a<eretGfJ COM .. LETELY OVERCAST HAZE 0" SMOG NONE OF THE ABOVI C. IF THE SIGHTING WAS AT TWILIGHT OR NIGHT, WHAT DID YOU NOTICE ABOUT THE STARS AND MOON? BRIGHT MOONLIGHT NO MOONLIGHT MOON WITH HALO HIDDEN BY CLOUDS PARTIAL (New or,..,.,.,) D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLEt IF yEs, WHI"I WAS THI SUN AS YOU FACED THE PHENOMENON? IN FRONT OF YOU TO YOUR RIGHT OVERHEAD(NeMO~ IN BACK OP' YOU TO YOUR LEP'T E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR 'TREE,.T LAMP, ETC. FOR T,RREfTRIALtL~U,IN~TION, rECIFY DISTANCE TO LIGHT SOURCE . tav ~cr~cn Rn c s .reo . . r~ t:! r~r1 expr~8C!\'TA.~r to :)Ur arH~Hf; ~ ~nnl lir:l-tt fr~:-r1. U. GIVE A BRIEF DESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT REFLECTED LIGHT OR WAS SELF-LUMINOUS AND WHAT COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WHETHER IT WAS SOLID OR TRANSPARENT, WHETHER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE OR INDICATE IP' IT APPEARED AS A POINT OP' LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE STA,_S, A LIGHT OR OTHER OBJECT IN YOUR FIELD OP' VIEW. :->bject) a-ppcnrcd t~ he p:Jint :>f darkness nnd V!h:i nh the oxtrP-r'l~ t CJ.r:ti)letel y h 1 no. i n~ the dcf in i l,nl ~,. snl'f-ltrr'li.n '">Un r:ave Jff a the :Jb.jcct is unknJwn, but bnlir.vcd t 8 be SJlid. c amnar :-1 blA wrtich w~tllu cruft,but due t~ ~rratjr. f'l t r~h t -:-n t tern i.t C:Jilld h~r,n :)ne the :)tllcr. PAGE 4 OF I PAGES WHK .. K WK .. K VOU WHKN VOU lAW THK fiHENOMKNON? (Citee ..,.,,., .... ,.rfate "ol OUTDOO .. I 8UIINRSI laCTION 0, CITY IN 8UILDINO IN .. IIIDINTIAL IICTION 0, CITY JllAI D .. IYI .. L J AI _.AIIIMOI" IN o.-aM COUNT .. VIIDI MIA" AI .. ,.ILD IN AI .... LAMI .., AI .. ILOT n AI .. AIIINOI" ,L YINO OVR .. CITY OTHI" Up:Jn ohsnrv i n r F'L 'liMO OVI .. O .. IN COUNT .. V v o 1n G !1en t Je ur VOU WE .. E IN A VKHICLK, COMPLETE THK ,OLLOWINO: WHAT DI .. KCTION WK"K VOU MOVING? HOW ,AIT Wl .. l YOU MOYIMOt n ar l nc ~ID_ VOU IT~ .. AN'T "iiMI WHILI oni .. YIMO THI MO .. THIAIT .. HIMOIIIMOMt MO .. THWIIT IJC .. LAIN WHITHI .. IUCH MOYIMINT IF',ICTI VOU .. IICITCHII IN ITEMI I AND I. be.L:->re3 :>h~crvati:)n. N~ effect. DESC .. I8E TYPE OF' VEHICLE YOU WE .. E IN AND TYPE OF' .. OAD, TE .. RAIN OR 800Y OF' WATER YOU TRAVERSED DURING THE SIGHTING. STATE WHITHER WINDOWS OR CONYERT18LE TO .. WERE U .. OR DOWN. 1 96l .. Chevrolet '.3clnlr. Car vtaf; ~ar.!ccri a t driv e in. d~or sedun .:P.nd :J\'lS pre,r:!. :->us HOW MUCH OTHER TRAF'F'IC WAS THERE? H~ otlH~r trn ffie, bnt th!.re 1 1t. nt. tbP OlD YOU NOTICE ANY AIRPLANES? ~YES ~NO. IF' YES, DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME OF SIGHTrG TH~ PHENOMENQN '&N HiNt ~y WEN; IN THE S Y RELATIVE TO THE POSITION)OF' THE PHENOMENON. Due o t 1~ nrJx~.r11 ty :J t 1e nJ.rp:,rt Stnnd i..!'nrd }_i'lel d the r e '.:r;r e o vcr h .,,Hl f:requontly, bnt tho t l:-'1C f\ ny. ~,ire r aft f')r n ;_, .. nraft :-, bse:rvecl f l ~.r-i n p thn t nart i ~ ~ ll ~1r HOW LONG WAS THE PHENOMENON IN SIGHTT LENGTH OF' TIME 2 rni nute s CERTAIN OF' TIME NOT VERY SURE F'AIRLY CERTAIN JUST A GUESS HOW WAS TIME DETERMINED? ust nftt' :r r. s -rrR. t. c WAS THE1PHENOMENON IN SIGHT CONTINUOUSLY? ~YES J;! NO. IF' No, INDICATE WHETHER THIS IS DUE TO YOUR MOVEMENT OR THE BEHAVIOR OF THE PHENOMENO , AND D RIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP- PEARANCES ON PREVIOUS SKETCHES. PAGE I OFt PAGES (Lt Col Smith Requeet v1D4 41rectioa and velocltf tor Station, Kentucky, tely 0030 hour a. 2nd Lt Marauo , D"AW A PICTU"It THAT WI IHOW THI IHA~I 0' THI ~HIMOMIMOM. IMC~UDI AND LA.IL ANY DITAILI TMAT MIGHT HAYI A~PIA .. ID AI WINOI 0 .. ~ .. OT .. UIIOMI, AND INDICATI EXHAUIT 0 .. YAPO" T"AI~I. INDICATI .y AN A .. ftOW THI DI .. ICTION THI PHINOMINOM WAI MOVING. f;h1.l.pe :)f thr. :Jh.j~ct :s un':n'J~Jn, n11ly n:~ n p;,int :)f lit~ht, but wu:3 ,., ,t n t:v~-.. e :1f cJn.~" l~n~wn n irnrnft. 11. WHAT WAS THE ANGU~AR SIZEt HOLD A MATCH AT ARM'I LENGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET LAMP OR THE MOON. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE Ml "~H. NOW IF YOU HAD BEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT f .-ACT9t"'N I')F THE PHEIIIOMENON WOULD HAVE BEEN COVERED v THE MATCH HEAD Objf1ct w::>uld have been t~tully hj.dden b:v r1atch hea d PAGES OFt PAGES DID TH. ~H.NOMaNON MOVE IN A ST .. AIOMT LIMit STAND STILL AT ANYTIMit SUDDINL Y I~IID U~ AND .. UN AWAYt I"IAIC U~ IN ~A .. TI AND IX~LODEt CMANOE COLO .. t OIVI 0 IMOICEt CM AMOK I,.IOMTNEIIt CMANOE IMA t - 'LAIM 0 .. 'LICICEIU DIIA aA.-AND ._IA aA.-t I~IN LIKE A TO~t MAKI A MOllEt ~LUTTE.-0 .. WOIILEf 14. WHAT D.-aw YOU.-ATTENTION TO TME ~MENOMENONf S-nirraltnr: liRht attracted A. HOW DID IT FINALLY DISAPPEA .. ? ~ b,i cct travcleG ::~.r:ross the sl<.y, i t ..,.1a~secl thin l n 'TP. r::; of nl~ncls brir-ht!1P-~F3. pa ~;s , nr~ a~prouchin~ dO('"J"i)()S olevati:)n incrca:Jed speed, d-irectl y h:->rizon. It a s it entered the cloud C:)VCr and di sr.tp ~.:eared. 8. ~D THE PHENOMENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR !JUILOING ' T ANY TIME? YES rc! NO. II' vEs, DESCRIBE. CJ.ou s, but never co~,plctely disapnear~ng. PAGE a OF I PAGES U. HAVI YOU EVI" IIIN THIS o-. A IIMILA-. fiHENOMINON 81,0.-Et NO. II' vas. OtYI DATE AND U ANYONE WITH YOU AT THI TtMI YOU lAW THI fiHINOMENONt L'C YES 0 NO. " YES. DID THEY Ill IT TOOt LilT THIU' NAMII AND ADD-.EIIEI , Valley Stnti~n, GIVE THit frOLLOWINO INfrORMATION ABOUT YOU .. SEL.F LAST NAME. ""ST NAME. MIDDLI NAME MALE FEMALE INDICATE ADDITION L ORMATION INCLUDING OCCUPATIO" ~0 ANY E)(PERIENCE WHICH MAY BE PERTINENT. I artt a Renior nt Valley High SchoOl and work as a clerk at the KroGer ro~d store. The m\litary i~ a h~bby of m1ne and I ~tny inforr1ed on ~he latect enuip!1nnt ond aircraft. I hav~ had a r;:1~d deal of cxl :mncH in thH rec')r:ni t :>n ~--H1 idcnti. r'icnti~n ~f nll c i vilit=1n t:n cl. T1.il i t ry P1r~ri~ft n~ I l:i.vP-:>nly n fcv.; 1l